Semolina is a less-refined form of wheat flour, however, the bran and germ are removed during processing similarly to refined wheat flour, still resulting in refined flour. Substituting refined grains with whole grains may reduce the risk of type 2 diabetes. Semolina contains more fiber, protein, and micronutrients than refined white flour, which can benefit the microbiome and reduce some of the impact on blood glucose levels. It is very high in gluten, which can cause digestive issues in people sensitive to gluten. Organic whole durum semolina is a form of semolina that still retains the bran and germ, making it a whole wheat alternative that is less commonly used as a food ingredient.